NPIMap

Individual provider Active NPI

Frederick D Harris, M.D.

  • Internal Medicine Physician
  • Cleveland Heights, OH
National Provider Identifier
1831147859
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35052604 Issued in OH
Practice address
5 Severance Cir
Suite 505
Cleveland Heights, OH 44118-1566
Phone
(216) 291-5151
NPI assigned
May 4, 2006
Last updated
Feb 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35052604 OH Primary

Addresses

Primary practice location

5 Severance Cir
Suite 505
Cleveland Heights, OH 44118-1566

Mailing address

275 Springside Dr Ste 100
Akron, OH 44333-4549

Other identifiers 1

IdentifierTypeStateIssuer
0672124MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050126000014 OH Practitioner - Internal Medicine 4385694587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

20000 Harvard Ave
Warrensville Heights, OH 44122-6805
Phone (216) 491-7396

20050 Harvard Ave
Warrensville Heights, OH 44122-6800

26900 Cedar Rd
Beachwood, OH 44122-1191
Phone (216) 839-3000

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35052604OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Sep 8, 2010 Accepting new patients
Cleveland Clinic Health System - East Region Past Accepting new patients

Locations

36901 American Way
Avon, OH 44011
Phone (440) 333-5460

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

5 Severance Cir
Ste 505
Cleveland Heights, OH 44118
Phone (216) 291-5151

5595 Transportation Blvd
Ste 220
Garfield Hts, OH 44125
Phone (216) 261-7970

20050 Harvard Ave
Warrensville Heights, OH 44122
Phone (216) 283-0750

850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737

Interoperability endpoints

  • Direct secure messaging: fharris32600@direct.ccf.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1831147859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SPRINGSIDE DR STE 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443334549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR",
            "address_2": "SUITE 505",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181566",
            "telephone_number": "216-291-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "FREDERICK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35052604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0672124",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

Verify at the official NPI Registry.